A Sustainable Handwashing Initiative In Central America


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A Sustainable Handwashing Initiative In Central
America
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Core Partners For Handwashing

• COLGATE-PALMOLIVE - Guatemala
• Corporación CRESSIDA - Honduras
• LA POPULAR S.A. - Guatemala
• PUNTO ROJO - Costa Rica
• UNISOLA UNILEVER - El Salvador
• BASICS and EHP

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Phased Partnership
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Terms of Partnership
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Handwashing Research

• Households with child under 10
• Low socio-economic level
• 4 countries 4500 households
• Questionnaire mothers men children 5-10
• Observation of handwashing mothers children
  5-10
  
• High diarrhea season July-Aug

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Handwashing Stages

• Inadequate Inadequate technique and/or 0/3
  critical times
  
• Intermediate Adequate technique and 1or 2 /3
  critical times
  
• Optimal Adequate technique and 3/3 critical times

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Stages of Handwashing Behavior
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Impact Of Handwashing On Diarrhea Prevalence
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Targeting the Handwashing Campaign
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Campaign Strategy
MASCOTA

• Mass Media TV Radio Press Mobile units
• Interpersonal Schools Markets Community -based
  activities Point-of-Sale

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Handwashing Behavior ChangeAfter 12 months
campaign in Guatemala 1500 mothers
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Impact Of Handwashing On Diarrhea Prevalence
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Estimates of the Health Impact in Guatemala

• After one year of the campaign in Guatemala
  among the 1572395 children under five
  nationwide in the two lowest economic strata
  
• 322000 fewer cases of diarrhea annually.
• 1287000 fewer days of diarrhea annually.

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Expanding the Local Partnership

• Ministry of Health / Ministry of Education
  Municipios Saludables Escuelas Saludables
  
• UNICEF
• Media Asociación de Radio Emisoras TV
• Large Foundations Anacafé Fundazucar
• NGOs World Vision CARE and local

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Key-Issues

• Exclusive vs. Inclusive agreement
• Dynamics of competition
• Sustainability
• Measuring health impact of specific intervention

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Critical Success Factors

• Good cause
• Catalyst
• Clear roles responsibilities expectations
• Road map
• Public Health backing
• Behavioral research
• Decision-Making by Task Force

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An Effective Partnership for Sustainable
Development
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Dissemination

• Approach document 83 pages September 2001
• Advocacy document 16 pages English
  French Spanish January 2002
  
• CD-ROM - all above documents plus additional
  information - March 2002
  
• Websites of World Bank BASICS EHP and UNICEF

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and on to new horizons